The World Bank Implementation Status & Results Report Republic of Congo, Kobikisa Health System Strengthening Project (P167890) Republic of Congo, Kobikisa Health System Strengthening Project (P167890) WESTERN AND CENTRAL AFRICA | Congo, Republic of | IBRD/IDA | Investment Project Financing (IPF) | FY 2021 | Seq No: 7 | Archived on 10-Dec-2024 | ISR02153 Implementing Agencies: Ministry of Health and Population 1. OBJECTIVE 1.1 Development Objective Original Development Objective (Approved as part of Approval package on 28-Jan-2022) The objective of the project is to increase utilization and quality of reproductive, maternal and child services in targeted areas, especially among the poorest households. Has the Development Objective been changed since Board Approval of the Project Objective? No 2. COMPONENTS Name PBF and supporting the implementation of free health care for pregnant women and children and fee exemptions for poorest households:(Cost 43,000,000.00) Support public finance governance, sector PFM and health system strengthening:(Cost 5,000,000.00) Project management and monitoring:(Cost 2,000,000.00) Contingent Emergency Response:(Cost 0.00) 3. OVERALL RATINGS Name Previous Current Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial Dec 10, 2024 Page 1 of 8 The World Bank Implementation Status & Results Report Republic of Congo, Kobikisa Health System Strengthening Project (P167890) 4. KEY ISSUES & STATUS 4.1 Implementation Status and Key Decisions Progress have been noted in the implementation of the project. The disbursement has been increased and more funds will continue to flow through the health system after the second assessment of the performance made in the services deliveries. The objective is relevant and it helps the system to strengthen services deliveries for the population and particularly for vulnerable one. 5. SYSTEMATIC OPERATIONS RISK-RATING TOOL Rating at Approval Last Approved Rating Risk Category Approval Package - ISR Seq. 06 - 28 May Proposed Rating 28 Jan 2022 2024 Political and Governance Substantial Substantial Substantial Macroeconomic Substantial Substantial Substantial Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Moderate Moderate Moderate Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Overall Substantial Substantial Substantial Dec 10, 2024 Page 2 of 8 The World Bank Implementation Status & Results Report Republic of Congo, Kobikisa Health System Strengthening Project (P167890) 6. RESULTS 6.1 PDO Indicators by PDO Outcomes Increase utilization and quality of reproductive, maternal and child services in targeted areas Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year People who have received 0.00 Feb/2021 327,962 28-Dec-2023 563,565 30-Sep-2024 1,208,622.00 Aug/2024 essential health, nutrition, and population (HNP) services (Number) People who have 0.00 48,832.00 118,573 1,092,340.00 received essential health, nutrition, and population (HNP) services - Female (RMS requirement) (Number) Number of children 0.00 Feb/2021 142,830.00 28-Dec-2023 117,030 30-Sep-2024 258,404.00 Aug/2024 immunized (Number) Number of women and 0.00 Feb/2021 104,814 28-Dec-2023 55,735 30-Sep-2024 486,626.00 Aug/2024 children who have received basic nutrition services (Number) Number of deliveries 0.00 Feb/2021 80,318 28-Dec-2023 62,838 30-Sep-2024 463,592.00 Aug/2024 attended by skilled health personnel Page 3 of 8 The World Bank Implementation Status & Results Report Republic of Congo, Kobikisa Health System Strengthening Project (P167890) (Number) Women aged 15-49 who have 0.00 Feb/2021 11,757.00 28-Dec-2023 97,110 30-Sep-2024 131,296.00 Aug/2024 used modern contraceptive Comments on Number of women aged 15-49 who use any modern method of contraceptive methods (Number) achieving targets 69.90 Feb/2021 35 28-Dec-2023 35 30-Sep-2024 80.00 Aug/2024 Use of post-natal care service Comments on Number of women aged 15 to 49 years with a live birth that received post-natal care (Percentage) achieving targets Average quality score at 0.00 Feb/2021 31 28-Dec-2023 65 30-Sep-2024 70.00 Aug/2024 health centers in targeted Comments on Average score computed for all health centers based on a quality of care assessment checklist. areas (Percentage) achieving targets Health services received by 0.00 Feb/2021 0.00 28-Dec-2023 9,299 30-Sep-2024 1,986,000.00 Aug/2024 poor people registered as exempted (Number) 6.2 Intermediate Results Indicators by Components PBF and supporting the implementation of free health care for pregnant women and children and fee exemptions for poorest households Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Number of people referred to 0.00 Feb/2021 0.00 28-Dec-2023 859 30-Sep-2024 330,661.00 Aug/2024 health facilities by community Comments on Number of people referred to health facilities by community health workers in targeted areas health workers (Number) achieving targets Quality score of emergency 0.00 Feb/2021 6.12 28-Dec-2023 68 30-Sep-2024 60.00 Aug/2024 obstetric and newborn care Comments on Quality score of emergency obstetric and newborn care (EmONC) services at District Hospitals (EmONC) services at District Page 4 of 8 The World Bank Implementation Status & Results Report Republic of Congo, Kobikisa Health System Strengthening Project (P167890) Hospitals (Percentage) achieving targets 0.00 Feb/2021 0.00 28-Dec-2023 65 30-Sep-2024 100.00 Aug/2024 Health facilities receiving PBF Comments on Numerator: Health facilities receiving PBF grants on time (as defined in PBF Procedures grants on time. (Percentage) achieving targets manual). Denominator: Total of health facilities contracted through PBF Percentage of beneficiaries 0.00 Feb/2021 0.00 28-Dec-2023 0.00 30-Sep-2024 85.00 Aug/2024 satisfied with quality of Comments on Beneficiaries satisfied with quality of services provided in health facilities (%). services provided in health achieving targets Numerator: number of health facility users (over past 12 months) satisfied with the quality of facilities (disaggregated by services provided in health facility women) (Percentage) Denominator: number of health facility users (over past 12 months) Pregnant women having at 40.00 Dec/2020 20 28-Dec-2023 50.70 30-Sep-2024 48.00 Aug/2024 least 3 antenatal care visits Comments on Numerator: Number of pregnant women having at least 3 antenatal care visits before delivery (Percentage) achieving targets Denominator: Number of pregnant women Support public finance governance, sector PFM and health system strengthening Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Percentage of facilities with 0.00 Feb/2021 64.00 28-Dec-2023 51.09 30-Sep-2024 70.00 Aug/2024 100% tracer drugs available in Comments on Numerator: Number of health centers with 100% tracer drugs available in targeted health targeted health facilities on achieving targets facilities on the day of the visit *100 the day of the visit. Denominator: Number of health facilities assessed (Percentage) Health facilities reporting 55.00 Feb/2021 56.87 28-Dec-2023 76.35 30-Sep-2024 85.00 Aug/2024 health management data on Comments on Promptness rate of DHIS2 reports in targeted districts ( on family planning form)\ time (Promptness rate of achieving targets Numerator: number of health facilities in targeted districts reporting on time (for Family family planning form) planning form) (Percentage) Denominator: total number of health facilities in targeted districts The CNTS is part of No Feb/2021 No 13-Jun-2023 No 30-Sep-2024 Yes Aug/2024 accreditation scheme and Comments on The CNTS performs external accreditation quality controls Page 5 of 8 The World Bank Implementation Status & Results Report Republic of Congo, Kobikisa Health System Strengthening Project (P167890) performs external quality achieving targets controls (Yes/No) Health facilities under PBF 0.00 Feb/2021 0.00 13-Jun-2023 29.81 30-Sep-2024 60.00 Aug/2024 operating within the national Comments on Numerator: Number of health facilities aligned with the national PFM system PFM system (Percentage) achieving targets Denominator: Number of health facilities under PBF Staff trained with 0.00 Feb/2021 14.00 28-Dec-2023 14.00 30-Sep-2024 300.00 Aug/2024 demonstrated competency in Comments on Number of MOH staff trained on budget program Budget program (Number) achieving targets Contract awarded by the 0.00 Feb/2021 25 13-Dec-2023 64.70 30-Sep-2024 60.00 Aug/2024 CGMPs of CAMEPS, CNTS and the Ministry of health in compliance with the public procurement code (Percentage) 0.00 Feb/2021 0.00 13-Jun-2023 0.00 30-Sep-2024 70.00 Aug/2024 PETS recommendations Comments on recommendations from previous PETS which have been implemented. implemented (Percentage) achieving targets Page 6 of 8 The World Bank Implementation Status & Results Report Republic of Congo, Kobikisa Health System Strengthening Project (P167890) 7. DATA ON FINANCIAL PERFORMANCE 7.1 Cumulative Disbursements 7.2 Disbursements (by loan) Loan/Credit/TF Status Original Revised Cancelled Disbursed Undisbursed % Disbursed Historical Disbursed IDA-68900 Effective 50.00 46.22 0.00 21.38 24.97 46.12% 50.00 7.3 Key Dates (by loan) Loan/Credit/TF Status Approval Signing Effectiveness Orig. Closing Rev. Closing IDA-68900 Effective 02-Jun-2021 30-Jun-2021 19-Nov-2021 08-Aug-2024 31-Aug-2025 8. KEY DATES Dec 10, 2024 Page 7 of 8 The World Bank Implementation Status & Results Report Republic of Congo, Kobikisa Health System Strengthening Project (P167890) Key Events Planned Actual Approval 02-Jun-2021 02-Jun-2021 Effectiveness 19-Nov-2021 19-Nov-2021 Mid-Term Review No. 01 26-Jun-2024 01-Oct-2024 Operation Closing/Cancellation 31-Aug-2025 9. RESTRUCTURING HISTORY Restructuring Level 2 Approved on 11-Jul-2024 10. ASSOCIATED OPERATION(S) There are no associated operations Dec 10, 2024 Page 8 of 8